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["任意様式１"]
["委 任 状"]
[]
["事務代行者"]
[null,"会社名"]
["役職・代表者名",{"$nulls":8},"印"]
[null,"住所",null,"〒"]
[]
[]
[]
[]
["　私は上記の者を交付申請書等の問い合わせ先となることを定め、平成30年度既存建築物"]
["省エネ化推進事業補助金の交付申請書等に関する問い合わせ先となることの権限を委任し"]
["ます。"]
[]
[{"$nulls":7},"平成　年　月　日　"]
[]
["委任者（代表提案者）"]
[null,"会社名"]
["役職・代表者名",{"$nulls":8},"印"]
[null,"住所",null,"〒"]